Active NPI
Eric Maze, LSW
- Social Worker
- Lockport, IL
National Provider Identifier
1265281695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.112619
- Practice address
- 16221 W 159TH St Ste 102
Lockport, IL 60441-7902 - Phone
- (331) 529-7699
- NPI assigned
- May 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.112619 | IL | Primary |
Addresses
Primary practice location
16221 W 159TH St Ste 102
Lockport, IL 60441-7902
Mailing address
9104 Lincoln CT Apt 306
Orland Park, IL 60462-3501
Phone (708) 557-7723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.112619 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1265281695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9104 LINCOLN CT APT 306",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623501",
"telephone_number": "708-557-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16221 W 159TH ST STE 102",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604417902",
"telephone_number": "331-529-7699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZE",
"first_name": "ERIC",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.112619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.